Integrated vs. interfaced practice management systems.
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The growth of the management of services organization has been accompanied by the need for better information technology systems to track both patient and physician utilization. The author describes some possible benefits of customizing an information system to meet the needs of these specialized organizations.
Knowledge is power. Sharing information about patients and knowledge about practice guidelines with allied physicians through the electronic patient record can help strengthen and maintain referral relationships. Electronic patient records can support specialty physicians in managing care across the continuum. As this professional paper suggests, organizations should be open to the use of cutting-edge technologies as long as there is a compelling business reason for introducing them. Specialty practices that want to successfully meet the future certainly have compelling business reasons for embracing the electronic patient record.
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We have used internet-standard tools to provide access for clinicians to the components of the electronic patient record held on multiple remote disparate systems. Through the same interface we have provided access to multiple knowledgebases, some written locally and others published elsewhere. We have developed linkage between these two types of information which removes the need for the user to drill down into each knowledgebase to search for relevant information. This approach may help in the implementation of evidence-based practice. The major problems appear to be semantic rather than technological. The intranet was developed at low cost and is now in routine use. This approach appears to be transferable across systems and organisations.
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In the planning phase for several years, the administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) finally appear ready for implementation. The Health Care Financing Administration (HCFA) expects that the major HIPAA measures will be released in late 1999. For group practices, it is expected that implementation of these provisions will be complicated and consume significant amounts of time and money. Still, the end result should justify the effort.
The future role of information technology in the medical industry is never clear, but we can identify some trends, such as electronic medical records and database management systems. Many of these trends can boost productivity for practices, but all managers need to carefully analyze their needs and understand the products to see how they may or may not help their individual practice.
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